| NPI | 1477114585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09222) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 0010-09222) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-07-08 |